Individual
MR. BENITO MUNOZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
722 S NEBRASKA AVE, SAN JUAN, TX 78589-2650
(956) 783-7088
(956) 783-5657
Mailing address
722 S NEBRASKA AVE, SAN JUAN, TX 78589-2650
(956) 783-7088
(956) 783-5657
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
821812
TX
363LF0000X
Family Nurse Practitioner
Primary
AP145713
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1N3748
MEDICARE
TX
Enumeration date
03/28/2020
Last updated
04/23/2021
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